title: Patient opinions of screening for intimate partner violence in a fracture clinic setting: P.O.S.I.T.I.V.E.: a multicenter study.
abstract: BACKGROUND
  Approximately one-third of injured women presenting to fracture clinics have experienced some form of intimate partner violence in the past year. The aim of the current study was to determine patients' perceptions on screening for intimate partner violence during visits to a surgical fracture clinic.
  
  
  METHODS
  We conducted a cross-sectional study to evaluate patients' perceptions and opinions on screening for intimate partner violence in an orthopaedic fracture clinic. Eligible patients anonymously completed a self-reported written questionnaire, which included questions on patient demographics, attitudes toward intimate partner violence in general, the acceptability of screening for intimate partner violence in an orthopaedic fracture clinic, and opinions on how, when, and by whom the screening should be conducted.
  
  
  RESULTS
  The study included 750 patients (421 male and 329 female) at five clinical sites in Canada and the Netherlands. The majority (554, 73.9%) of the respondents either "agreed" or "strongly agreed" that the fracture clinic was a good place for health-care providers to ask about intimate partner violence. The majority (671, 89.5%) also agreed that health-care providers should screen for intimate partner violence by means of face-to-face interactions rather than other, more passive methods. Increased openness to screening was significantly associated with female sex, higher income, and higher education (F₃₅₉₅ = 21.950, p < 0.001).
  
  
  CONCLUSIONS
  Our findings demonstrated that the majority of patients endorse active screening for intimate partner violence in orthopaedic fracture clinics.
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, 293 Wellington Street North, Suite 110, Hamilton, ON L8L 8E7, Canada. sprags@mcmaster.ca
authors.forename: Sheila
authors.initials: S
authors.lastname: Sprague
authors.forename: J Carel
authors.initials: JC
authors.lastname: Goslings
authors.forename: Brad A
authors.initials: BA
authors.lastname: Petrisor
authors.forename: Victoria
authors.initials: V
authors.lastname: Avram
authors.forename: Olufemi R
authors.initials: OR
authors.lastname: Ayeni
authors.forename: Emil H
authors.initials: EH
authors.lastname: Schemitsch
authors.forename: Rudolf W
authors.initials: RW
authors.lastname: Poolman
authors.forename: Kim
authors.initials: K
authors.lastname: Madden
authors.forename: Katelyn
authors.initials: K
authors.lastname: Godin
authors.forename: Sonia
authors.initials: S
authors.lastname: Dosanjh
authors.forename: Mohit
authors.initials: M
authors.lastname: Bhandari
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002170:Canada; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009426:Netherlands; D010044:Outpatient Clinics, Hospital; D013179:Spouse Abuse / Q000706:statistics & numerical data*; D055815:Young Adult